CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $990
  • Cash Discount Price: $1,707
  • vs. Medicare Baseline: 5.52x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Ohiohealth Morrow County Hospital is $990. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,707. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.52x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$1,707

Average discount available for prompt cash payment at this facility.

Insurance Median
$990

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,707 (953%)
Insurance Median: $990 (552%)
Cash: $1,707 (953% of Medicare)
Ins. Median: $990 (552% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 552% of the Medicare baseline (a markup of 452%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $484 - $493 270%
UnitedHealthcare $484 - $2,151 270%
Blue Cross Blue Shield $489 - $2,027 273%
Amerihealth Caritas - All Plans $498 278%
Humana $498 - $2,442 278%
Molina Exchange - All Other Plans $798 445%
Medicare (plans) $972 - $991 542%
Aetna $990 - $2,258 552%
Caresource Marketplace - All Other Plans $1,214 677%
Medical Mutual Of Ohio Marketplace $1,969 1099%
Ohiohealthy Network - All Other Plans $1,969 1099%
Ohiohealthy Preferred $1,969 1099%
Medical Mutual Of Ohio Comm - All Other Plans $2,127 1187%
Medical Mutual Of Ohio - Admin Serv $2,232 1246%
Phcs - All Plans $2,416 1348%
Cigna $2,468 1377%
Multiplan - All Plans $2,495 1392%
Healthstar Comm - All Plans $2,521 1407%
Beech Street - All Plans $2,547 1421%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals